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So we're going to carry out a wound dressing,
a simple wound dressing, so I've washed my

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hands, I popped my PPE on I've got trolly ready,
I've gained consent from my patient and

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they're quite happy for this to be carried
out.

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So I've exposed the leg because it's on the
thigh that we do in the dressing change and

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just making sure to maintain dignity for the
patient that we're only uncovering what we

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need to uncover. So start off with prepared
the patient.

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And now all I need to do is just lift and
loosen this dressing.

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And while I'm doing this, just check the area
around where the dress has been as well.

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Make sure that there's no redness, things
like that.

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And I've also checked the care plan as to
what dress is needed.

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So we've now loosened that at this point.

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I need to go away, take my gloves off, wash
my hands with soap and water and come back,

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because the next part is an aseptic
technique.

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OK, so wash my hands with soap and water.

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We're back at the bed space and I need to
take that dressing off first.

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So I have an extra bag, clean bag to use.

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So I'm going to take the dressing off, there we go
and turn the back inside out and just pop up

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at the bottom of the trolley.

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On the top of my trolley, I am going to use
a wound care pack, and an aseptic technique

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because it's a wound, so this is a non touch technique.

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So really careful on how we open it up, not
touching the inside unless we really have to.

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So I'm going to have to move one of my
gloves, which is there, and then remove the

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dressing and wastepaper bag, which is there.

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I am going to move my other glove

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go to one side so I can take out the
waterproof sheet.

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And place just sort of under the wound by 
the leg, just to create a clean, sterile field.

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And I'm going to open my dressing
up, but it's really important that I open it

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up and then just tip the clean, sterile dressing 
into the sterile area and not the outer packaging.

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To clean the wound, just going to use sterile
water, and again, nothing touches the inner

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piece, you're just pouring in.

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OK, we'll bin that.

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So to put my gloves on need to be really
careful that I don't touch the outer aspects

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of the gloves. So we're just touching the cuff
here, which is the inner part of the glove.

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I can be a little bit more because I've got a sterile glove on.

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Just need to turn that around.

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OK, so we're always touching the outside
with a sterile closing of the inside, right.

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So local policy and general instruction is
not to cleanse the area routinely unless

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needed. So we're only taking away any sort
of extrudate or leakage.

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So we'll give the area a little clean.

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Just take away any blood or anything like that.

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And then that is it we leave that and then
it's to place the dressing on.

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Again It needs to be a non touch technique.

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So dressings are generally set up that there's
a break in the the back so you can just peel

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off. And what we need to do is introduce
dressing padded area over the wound.

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So we're not touching that padded area at
all with our gloves.

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And stick it into place and again, I'm just
touching, not touching the dressing, I'm just

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touching the removed part and then we stick
it into place and there we go dressing changed. 

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So remove the sheet.

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And we make sure that we've disposed 
and taken our gloves off properly.

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Cover the patient, back up.

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Here we go. And then we can go to the
clinical waste area, dispose of our waste in

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the clinical waste bag and dispose of our
apron.

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And then again, wash our hands with soap and
water.